Maryville NURS 620 Adult 1 EXAM 1
if rapid strep test is negative what is the first thing you should do? - ANSsend out culture
when examining lab from a person with mono what would the NP expect to find? -
ANSLymphocytosis
EBV is transmitted through which route? - ANSoral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to
avoid - ANSbeta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect - ANSoral cancer
which vision sx is common in open angel glaucoma - ANSperipheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step - ANSrefer
to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANSHordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on
the eyelid - ANSChalazion
what maneuver can be performed to help manage sx of vertigo? - ANSEpley maneuver
What can help diagnose vertigo - ANSDix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what
is the first thing to do? - ANSdiscontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANSopen-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? - ANSExposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANSYoung children, allergies, craniofacial abnormalities, smokers,
hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? - ANSsevere headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment
failure after 7 days of 1st line abx (PCN)? - ANSDoxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most
appropriate treatment plan - ANSsaline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
ANScanker sore
what symptoms are most indicative of mono - ANSgradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath,
swollen puffy receding gums that are tender and bleed easily - ANSgingivitis
toothache, bad breath, pus, fever, swollen lymph nodes - ANSDental abscess
symptoms of meniere's disease - ANSloss of balance, tinnitus, vertigo
PE findings of meniere's disease - ANSpositive Romberg, abnormal gait, unilateral hearing loss,
sensorineural hearing loss (excessively longer air conduction vs bone conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation, bleeding from
Kiesselbach's plexus - ANSAnterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage - ANSPosterior
epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating VS.
Protect eye to avoid pressure, limit patient activity, send to ER - ANSretinal detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? - ANScould
cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision - ANSclosed angle glaucoma
What is the treatment for AOM if there is a PCN allergy - ANSbactrim or azithromycin
Triad: fever, exudative pharyngitis (sore thraot), posterior cervical adenopathy - ANSMONO
if rapid strep test is negative what is the first thing you should do? - ANSsend out culture
when examining lab from a person with mono what would the NP expect to find? -
ANSLymphocytosis
EBV is transmitted through which route? - ANSoral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to
avoid - ANSbeta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect - ANSoral cancer
which vision sx is common in open angel glaucoma - ANSperipheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step - ANSrefer
to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANSHordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on
the eyelid - ANSChalazion
what maneuver can be performed to help manage sx of vertigo? - ANSEpley maneuver
What can help diagnose vertigo - ANSDix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what
is the first thing to do? - ANSdiscontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANSopen-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? - ANSExposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANSYoung children, allergies, craniofacial abnormalities, smokers,
hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? - ANSsevere headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment
failure after 7 days of 1st line abx (PCN)? - ANSDoxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most
appropriate treatment plan - ANSsaline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
ANScanker sore
what symptoms are most indicative of mono - ANSgradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath,
swollen puffy receding gums that are tender and bleed easily - ANSgingivitis
toothache, bad breath, pus, fever, swollen lymph nodes - ANSDental abscess
symptoms of meniere's disease - ANSloss of balance, tinnitus, vertigo
PE findings of meniere's disease - ANSpositive Romberg, abnormal gait, unilateral hearing loss,
sensorineural hearing loss (excessively longer air conduction vs bone conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation, bleeding from
Kiesselbach's plexus - ANSAnterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage - ANSPosterior
epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating VS.
Protect eye to avoid pressure, limit patient activity, send to ER - ANSretinal detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? - ANScould
cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision - ANSclosed angle glaucoma
What is the treatment for AOM if there is a PCN allergy - ANSbactrim or azithromycin
Triad: fever, exudative pharyngitis (sore thraot), posterior cervical adenopathy - ANSMONO
